| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.78 | $20.69 | $126.37 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $28.89 |
Lucent Health
| Facility | 26 | $73.63 | $117.00 | $117.00 |
Urography Nfs Drip &/Bolus W/Nephrotomography
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.78 | $20.69 | $126.37 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $28.89 |
Lucent Health
| Facility | 26 | $73.63 | $117.00 | $117.00 |